Consistency of GINA criteria and childhood asthma control test on the determination of asthma control

Erkoçoğlu, Mustafa; Akan, Ayşegül; Civelek, Ersoy; Kan, Rojdan; Azkur, Dilek; Kocabaş, Can Naci

doi:10.1111/j.1399-3038.2011.01232.x

Cited by 30 publications

(20 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another factor that might have contributed to our findings is the fact that c-ACT-based asthma control was reported to have <30% non-compatibility with GINA guideline base asthma control. Although the c-ACT is a validated questionnaire [18] and it is widely used for healthcare and research purposes, it seems to overestimate asthma control levels in children with poor asthma control or poor symptom perception [31,32].…”

Section: Discussionmentioning

confidence: 99%

e-Monitoring of Asthma Therapy to Improve Compliance in children (e-MATIC): a randomised controlled trial

Vasbinder

Goossens²,

Mölken³

et al. 2016

Eur Respir J

101

View full text Add to dashboard Cite

Real-time medication monitoring (RTMM) is a promising tool for improving adherence to inhaled corticosteroids (ICS), but has not been sufficiently tested in children with asthma. We aimed to study the effects of RTMM with short message service (SMS) reminders on adherence to ICS, asthma control, asthma-specific quality of life and asthma exacerbation rate; and to study the associated cost-effectiveness.In a multicentre, randomised controlled trial, children (aged 4-11 years) using ICS were recruited from five outpatient clinics and were given an RTMM device for 12 months. The intervention group also received tailored SMS reminders, sent only when a dose was at risk of omission. Outcome measures were adherence to ICS (RTMM data), asthma control (childhood asthma control test questionnaire), quality of life (paediatric asthma quality of life questionnaire) and asthma exacerbations. Costs were calculated from a healthcare and societal perspective.We included 209 children. Mean adherence was higher in the intervention group: 69.3% versus 57.3% (difference 12.0%, 95% CI 6.7%-17.7%). No differences were found for asthma control, quality of life or asthma exacerbations. Costs were higher in the intervention group, but this difference was not statistically significant.RTMM with tailored SMS reminders improved adherence to ICS, but not asthma control, quality of life or exacerbations in children using ICS for asthma.

show abstract

Section: Discussionmentioning

confidence: 99%

e-Monitoring of Asthma Therapy to Improve Compliance in children (e-MATIC): a randomised controlled trial

Vasbinder

Goossens²,

Mölken³

et al. 2016

Eur Respir J

101

View full text Add to dashboard Cite

show abstract

“…Most of these studies have shown a high level of agreement between both tests and GINA criteria . Only one study found a significant discrepancy between C‐ACT and GINA levels of control . It was hypothesized that this discrepancy was due to the fact that GINA levels are based on frequency of symptoms and on pulmonary function tests, whereas the C‐ACT score is determined by the severity of symptoms only.…”

Section: Gold Standard Of Asthma Controlmentioning

confidence: 99%

Asthma control questionnaires in the management of asthma in children: A review

et al. 2014

View full text Add to dashboard Cite

Several self-administered questionnaires have been developed to assess childhood asthma control in a simple and standardized way. This review discusses the most commonly used questionnaires and explores their usefulness in asthma management in children. We conclude that the use of asthma control questionnaires in daily practice and in research contributes to the standardized evaluation of children with asthma and helps to track asthma symptoms, but validation studies in a wider range of settings are needed.

show abstract

“…This might be explained by the fact that people tend to adjust themselves in the middle range (known as the error of central tendency). Furthermore, patients have different perceptions of their level of control than their doctor …”

Section: Discussionmentioning

confidence: 99%

Asthma control in children: Body plethysmography in addition to spirometry

Korten

Zacharasiewicz

Bittkowski³

et al. 2019

Pediatric Pulmonology

View full text Add to dashboard Cite

Background There is a lack of agreement among measures of asthma control in children. In Central Europe, body plethysmography is additionally used for asthma monitoring. However, its value is still unclear. Objectives We investigated the possible additional value of body plethysmographic measures (specific resistance, residual volume‐total lung capacity ratio [RV/TLC]) compared with spirometric measures forced expiratory volume in 1 second (FEV 1), forced vital capacity (FVC), FEV 1/FVC, forced expiratory flow at 25% to 75% of forced vital capacity (FEF 25‐75), and fraction of exhaled nitric oxide (FeNO) for assessment of asthma control. Methods One hundred and forty‐five asthmatic children aged 5 to 17 were included. All children performed measurements of FeNO, spirometry, and body plethymography. Asthma control was assessed by the asthma control test (c‐ACT/ACT) and a doctor's assessment of asthma control. Results Investigating single lung function parameters, FEV1, FEV 1/FVC, FEF 25‐75 and RV/TLC differed between controlled and partly controlled asthma. However, we found no differences between controlled and uncontrolled asthma with regard to single lung function parameters or for any parameter if investigated in a multivariable approach. This was also true if we combined obtained parameters from spirometry (comparing pathologic vs normal spirometry). Investigating the combination of body plethysmography and doctor's assessment of asthma control a significant association was found ( P = 0.02). Furthermore, combined spirometry and body plethysmography showed a significant association with both doctor's assessed asthma control ( P = 0.009) and the c‐ACT/ACT ( P = 0.04). The addition of FeNO did not improve the results. Conclusions The combination of body plethysmography and spirometry shows best agreement with asthma control in children compared with spirometry or body plethysmography alone. Further studies are needed to find out whether additional measurements of body plethysmography improve the outcome of children in asthma monitoring.

show abstract

Consistency of GINA criteria and childhood asthma control test on the determination of asthma control

Abstract: Consistency between GINA and C-ACT is not as to be expected. Using only one method for determining the control level of asthma does not seem to be reliable and accurate.

Cited by 30 publications

References 26 publications

e-Monitoring of Asthma Therapy to Improve Compliance in children (e-MATIC): a randomised controlled trial

e-Monitoring of Asthma Therapy to Improve Compliance in children (e-MATIC): a randomised controlled trial

Asthma control questionnaires in the management of asthma in children: A review

Asthma control in children: Body plethysmography in addition to spirometry

Contact Info

Product

Resources

About